Himanshu-109160090163

A division of
OM Computer Training Institute
Regd. Under Companies Act | Ministry of Corporates Affairs Govt of India
Regd Office : E-84, Gali No. 4, New Ashok Nagar, Near Dashmesh Public School, Vasundhra Enclave, New Delhi, 110096
Application Form

Student Details

Name of Candidate : Himanshu
Reg. No. 109160090163

Student Photo Not Available
Mother's Name : Surekha
Father's Name : Jai Prakash
Date of Birth * : 09-Sep-2009
Gender : MALE
Nationality : INDIAN
Present Address : Kh.No-25/2/80 Sq-20/28 vill mandoli Po:mandoli saboli,Dist north east delhi -10093
Mobile No. : 9911994409
Email Address :

Course Details

Course Name /Code : Certificate in Computer Application (CCA)
Course Duration : 3 Months

Attached Document

Identity Proof : Download
Educational Certificate : Download
Decleration

I hereby declared that all the informations are correct and true to the best of my knowledge and belief.

Place: , Gautam Buddh Nagar
Date : 08-Apr-2025

Signature of Student

Center Details

Center Code : 10916009

Verified By
Center Name : OM Computer Training Institute
Center Address : Krishna Nagar Bagu Road, (Gautam Buddh Nagar)
ID Proof
Educational Proof